From Scheme to System (Part 1): Notes on Conceptual and Methodological Innovations in the Multicountry Research Program on Scaling Up Results-Based Financing in Health Systems

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2017-03-27 DOI:10.1080/23288604.2017.1303561

B. Meessen, Z. Shroff, P. Ir, M. Bigdeli

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引用次数: 23

Abstract

Abstract Abstract—This article presents conceptual and methodological developments made in analyzing the scale up of results-based financing (RBF) as part of a multicountry research program supported by the Alliance for Health Policy and Systems Research. Following a brief overview of the research process, the article proposes a new five-dimensional conceptualization of scale-up (population coverage, service coverage, health system integration, cross-sectoral diffusion, and knowledge expansion) to capture various facets of RBF scale-up. It also presents how Walt and Gilson's health policy triangle framework was modified to identify the enablers and barriers to scale-up in the country case studies included in this research program. The article then puts forth a four-phase model of scale-up, including phases of generation, adoption, institutionalization, and expansion, developed for the purpose of this research program. The article concludes by providing some lessons learned on the use of the methods and theoretical frameworks developed for this multicountry research program.

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从计划到系统(第1部分):关于扩大卫生系统基于结果的融资的多国研究计划概念和方法创新的说明

摘要:本文介绍了在分析结果导向型融资(RBF)作为卫生政策和系统研究联盟支持的多国研究计划的一部分的规模时所取得的概念和方法上的进展。在对研究过程进行简要概述之后，本文提出了扩大规模的一个新的五维概念(人口覆盖率、服务覆盖率、卫生系统整合、跨部门扩散和知识扩展)，以涵盖RBF扩大规模的各个方面。它还介绍了如何修改沃尔特和吉尔森的卫生政策三角框架，以确定在本研究计划中包括的国家案例研究中扩大规模的推动因素和障碍。然后，本文提出了一个规模扩大的四阶段模型，包括产生阶段、采用阶段、制度化阶段和扩展阶段，为本研究计划的目的而开发。文章最后提供了一些关于使用为这个多国研究计划开发的方法和理论框架的经验教训。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.